Summary

The Community and Employment Support (CES) Waiver supports individuals of all ages with developmental disabilities who meet ICF level of care and need waiver support services to live in the community and prevent institutionalization.

The goals of the CES Waiver are to support beneficiaries in all major life activities, promote community inclusion through integrated employment options and community experiences, and provide comprehensive care coordination and service delivery under the 1915(b) PASSE Waiver Program.

Support of the person includes:

  1. Developing a relationship and maintaining direct contact
  2. Determining the person's choices about their life
  3. Assisting them in carrying out these choices
  4. Developing and implementing a PCSP with an interdisciplinary team
  5. Assisting the person in integrating into their community
  6. Locating, coordinating, and monitoring needed developmental, medical, behavioral, social, educational, and other services
  7. Accessing informal community supports
  8. Supporting them in seeking and maintaining competitive employment

The objectives are:

  1. To enhance and maintain community living for all beneficiaries in the CES Waiver program, and
  2. To transition eligible persons who choose the CES Waiver option from residential facilities to the community.

All CES Waiver beneficiaries are assigned to a Provider-led Arkansas Shared Savings Entity (PASSE), a full-risk organized care organization responsible for providing services to its enrolled members. Excluded services are non-emergency transportation, dental benefits in a capitated program, school-based services provided by school employees, skilled nursing facility services, assisted living facility services, human development center services, and waiver services provided through the ARChoices in Homecare program or the Arkansas Independent Choices program. The PASSE also provides care coordination services administratively through the ยง 1915(b) Waiver.

All services must follow an individual person-centered service plan (PCSP), which is based on an Independent Assessment by a third-party vendor, the PASSE care coordinator's health questionnaire, and other psychological and functional assessments. The PCSP must have measurable goals and specific objectives, measure progress through data collection, and be created by the member's PASSE care coordinator in collaboration with the member, their caregivers, service providers, and other professionals.

Eligibility Requirements